Serveur d'exploration sur la grippe en Espagne

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[Antibiotic prescription in acute respiratory infections in adults: its variability and appropriateness in 10 Spanish hospitals].

Identifieur interne : 000677 ( Main/Exploration ); précédent : 000676; suivant : 000678

[Antibiotic prescription in acute respiratory infections in adults: its variability and appropriateness in 10 Spanish hospitals].

Auteurs : L. Inglada Galiana ; J M Eiros Bouza ; C. Ochoa Sangrador ; A. Vallano Ferraz ; L. Armadans Gil ; J B Vidal Bugallo ; A. Artero Mora ; A. Ruiz Cantero ; T. Cerdá Mota ; A. Lázaro Asensio ; A. Martínez L Pez ; L. Guerra Romero

Source :

RBID : pubmed:10216395

Descripteurs français

English descriptors

Abstract

OBJECTIVE

To report the variability in antibiotic prescribing habits for patients diagnosed of non-specified acute respiratory infections (ARI) (according to the International Classification of Diseases 9MC) at Emergency Departments of ten Spanish hospitals, and to evaluate the appropriateness of antimicrobial prescription for such patients, after specifically elaborating some reference patterns for appropriate antimicrobial use.

DESIGN

Descriptive study of variability in clinical practice by means of a prospective series of cases. Study of appropriateness by means of elaborating reference standards for appropriate use and comparison with the data from the descriptive study with such standards.

DURATION

six months.

SETTING

Emergency Department in ten Spanish hospitals from different autonomic communities: Andalucía, Islas Canarias, Castilla-León, Cataluña, Galicia, Madrid, Murcia and Valencia for a 6-month period.

PATIENTS

Patients with the diagnosis of community ARI attended at emergency departments.

SAMPLE SIZE

903 cases.

INTERVENTIONS

Collection of cases in a unified database with the following variables: age, sex, ARI type, diagnosis of comorbidity, prescribed antimicrobial, hospital admission and type of prescriber. A panel of experts was commissioned to elaborate the gold standards for the appropriate use of antibiotics or the lack of indication for the different locations of ARI.

RESULTS

The adjusted proportion of the inappropriate prescription for the group with laryngo-tracheal-influenza-rhinopharyngitis-multiple ARI or non specified infections was 67.9%.

CONCLUSIONS

Concerning antibiotic prescription, significant inter-center variability and relevant heterogeneity were observed.


PubMed: 10216395


Affiliations:


Links toward previous steps (curation, corpus...)


Le document en format XML

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<term>Age Factors (MeSH)</term>
<term>Aged (MeSH)</term>
<term>Aged, 80 and over (MeSH)</term>
<term>Anti-Bacterial Agents (therapeutic use)</term>
<term>Drug Prescriptions (MeSH)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Inpatients (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
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<front>
<div type="abstract" xml:lang="en">
<p>
<b>OBJECTIVE</b>
</p>
<p>To report the variability in antibiotic prescribing habits for patients diagnosed of non-specified acute respiratory infections (ARI) (according to the International Classification of Diseases 9MC) at Emergency Departments of ten Spanish hospitals, and to evaluate the appropriateness of antimicrobial prescription for such patients, after specifically elaborating some reference patterns for appropriate antimicrobial use.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>DESIGN</b>
</p>
<p>Descriptive study of variability in clinical practice by means of a prospective series of cases. Study of appropriateness by means of elaborating reference standards for appropriate use and comparison with the data from the descriptive study with such standards.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>DURATION</b>
</p>
<p>six months.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>SETTING</b>
</p>
<p>Emergency Department in ten Spanish hospitals from different autonomic communities: Andalucía, Islas Canarias, Castilla-León, Cataluña, Galicia, Madrid, Murcia and Valencia for a 6-month period.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>PATIENTS</b>
</p>
<p>Patients with the diagnosis of community ARI attended at emergency departments.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>SAMPLE SIZE</b>
</p>
<p>903 cases.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>INTERVENTIONS</b>
</p>
<p>Collection of cases in a unified database with the following variables: age, sex, ARI type, diagnosis of comorbidity, prescribed antimicrobial, hospital admission and type of prescriber. A panel of experts was commissioned to elaborate the gold standards for the appropriate use of antibiotics or the lack of indication for the different locations of ARI.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>The adjusted proportion of the inappropriate prescription for the group with laryngo-tracheal-influenza-rhinopharyngitis-multiple ARI or non specified infections was 67.9%.</p>
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<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSIONS</b>
</p>
<p>Concerning antibiotic prescription, significant inter-center variability and relevant heterogeneity were observed.</p>
</div>
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<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To report the variability in antibiotic prescribing habits for patients diagnosed of non-specified acute respiratory infections (ARI) (according to the International Classification of Diseases 9MC) at Emergency Departments of ten Spanish hospitals, and to evaluate the appropriateness of antimicrobial prescription for such patients, after specifically elaborating some reference patterns for appropriate antimicrobial use.</AbstractText>
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<name sortKey="Lazaro Asensio, A" sort="Lazaro Asensio, A" uniqKey="Lazaro Asensio A" first="A" last="Lázaro Asensio">A. Lázaro Asensio</name>
<name sortKey="Martinez L Pez, A" sort="Martinez L Pez, A" uniqKey="Martinez L Pez A" first="A" last="Martínez L Pez">A. Martínez L Pez</name>
<name sortKey="Ochoa Sangrador, C" sort="Ochoa Sangrador, C" uniqKey="Ochoa Sangrador C" first="C" last="Ochoa Sangrador">C. Ochoa Sangrador</name>
<name sortKey="Ruiz Cantero, A" sort="Ruiz Cantero, A" uniqKey="Ruiz Cantero A" first="A" last="Ruiz Cantero">A. Ruiz Cantero</name>
<name sortKey="Vallano Ferraz, A" sort="Vallano Ferraz, A" uniqKey="Vallano Ferraz A" first="A" last="Vallano Ferraz">A. Vallano Ferraz</name>
<name sortKey="Vidal Bugallo, J B" sort="Vidal Bugallo, J B" uniqKey="Vidal Bugallo J" first="J B" last="Vidal Bugallo">J B Vidal Bugallo</name>
</noCountry>
</tree>
</affiliations>
</record>

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